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BioMed Research International
Volume 2018, Article ID 6085961, 9 pages
https://doi.org/10.1155/2018/6085961
Clinical Study

Musculoskeletal Ultrasonography Assessment of Functional Magnetic Stimulation on the Effect of Glenohumeral Subluxation in Acute Poststroke Hemiplegic Patients

1Department of Orthopedics, The First Affiliated Hospital of Soochow University, Suzhou, China
2Department of Physical Medicine & Rehabilitation, The First Affiliated Hospital of Soochow University, Suzhou, China
3Department of Physical Medicine & Rehabilitation, Wuxi Tongren International Rehabilitation Hospital, Wuxi, China

Correspondence should be addressed to Huilin Yang; moc.361@enipsuohzus and Min Su; moc.931@nimus

Chengyuan Yang and Ping Chen contributed equally to this work.

Received 31 October 2017; Revised 19 February 2018; Accepted 19 March 2018; Published 3 July 2018

Academic Editor: Yongjin Zhou

Copyright © 2018 Chengyuan Yang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Glenohumeral subluxation (GHS) is common in patients with acute hemiplegia caused by stroke. GHS and upper limb function are closely related. Objective. Using musculoskeletal ultrasonography (MSUS) to objectively evaluate the efficacy of functional magnetic stimulation (FMS) in the treatment of GHS in acute hemiplegic patients after stroke. Methods. The study used prospective case control study. Stroke patients with GHS were recruited and assigned to control group and FMS group. Control group received electrode stimulation at the supraspinatus and deltoid muscles of the hemiplegic side, while FMS group was stimulated at the same locations. Before and after treatment, the distances of the acromion-greater tuberosity (AGT), acromion-lesser tuberosity (ALT), acromiohumeral distance (AHD), supraspinatus thickness (SST), and deltoid muscle thickness (DMT) in patients’ bilateral shoulder joint were measured by MSUS, respectively. Meanwhile, Fugl-Meyer Assessment (FMA) was used to evaluate the improvement of upper limb function. Results. 30 patients were recruited. After FMS treatment, there was a significant decrease in the difference value between ipsilateral side and contralateral side of AGT [, ], ALT [, ], AHD [, ], SST [, ], and DMT [, ], and FMA score increased [, ]. Compared with control group, FMS group decreased more significantly in the difference value between ipsilateral side and contralateral side of AGT [, ], ALT [, ], AHD [, ], SST [, ], and the DMT [, ], and FMA score increased more significantly in FMS group [, ]. Conclusion. The study preliminarily shows that the MSUS can objectively and dynamically evaluate the treatment effect of GHS in hemiplegic patients. Meanwhile, compared with control group, the FMS is more effective and has fewer side effects, and the long-term effect of FMS is worth further study. This trial is registered with ChiCTR1800015352.